HomeMy WebLinkAbout04-08-11[~t~ ~;~ .. r--;
BUREAU OF INDIVIDUAL TAXES ~ i~ `"I!~IHERITANCE TAX
POHBOXT280601~ DIVISION - I STAY'E`MENT OF ACCOUNT
HARRISBURG PA 17128-0601 - ., ,
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CHARLES E SHIELDS III
6 CLOUSER RD
MECHANICSBURG PA 17055-9735
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DEPARTMENT OF REVENUE
REV-16[17 EX AFP (12-10)
DATE 03-28-2011
ESTATE OF HOBAUGH JEANNE M
DATE OF DEATH 06-14-200Si
FILE NUMBER 21 10-024i~
COUNTY CUMBERLANI)
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND RIEMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS ~
................................................................................................................
REV-1607 EX AFP C12-10) ~E~~E INHERITANCE TAX STATEMENT OF ACCOUNT ~E3E3E
ESTATE OF:HOBAUGH JEANNE M FILE NO.: 21 10-0247 ACN: 101 DATE: 03-28-2011
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY DF THE PRINCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-14-2011
PRINCIPAL TAX DUE: __ ___
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-)
12-09-2010 CD013764 356.27-
03-14-2011 REFUND .00
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
AMOUNT PAID
12,355.90
3.95-
TOTAL TAX PAYMENT 11,995.68
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
.00